Organization
WISDOM TEETH EXPERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX ALEXANDER MCCUSKER (MANAGER)
(949) 521-2757
Entity
Organization
Contact information
Practice address
9271 S REDWOOD RD, WEST JORDAN, UT 84088-6572
(949) 521-2757
Mailing address
285 W 530 N, VINEYARD, UT 84059-4817
(949) 521-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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